Residential Warranty Claim

  1. { binding displayValue, mode=oneTime }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Air-conditioner Details

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Serials numbers can either be uploaded as images or can be typed in the boxes below. Both are not required.

{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

2nd Air-conditioner Details

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Serials numbers can either be uploaded as images or can be typed in the boxes below. Both are not required.

{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

3rd Air-conditioner Details

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Serials numbers can either be uploaded as images or can be typed in the boxes below. Both are not required.

{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

4th Air-conditioner Details

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Serials numbers can either be uploaded as images or can be typed in the boxes below. Both are not required.

{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Samsung Warranty Card Download

Alliance Warranty Card Download

{ binding firstError.message }
{ binding firstError.message }

Residential Warranty Claim

Residential Warranty Claim

This information will not be shared by anyone outside of Fourways Airconditioning and the installing company.
{binding displayValue}
Name and Surname
{binding displayValue}
Tel Number
{binding displayValue}
Cell Number
{binding displayValue}
Email
{binding displayValue}
Purchase Date
{binding displayValue}

Air-conditioner Details

Unit type
{binding displayValue}
SAMSUNG BORACAY NON-INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG WINDFREE INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG MALDIVES INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG FLOOR STANDING Q9000 INVERTER
{binding displayValue}
ALLIANCE ATLANTIC NON-INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE ALASKAN NON-INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE CASPIAN INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE ARCTIC INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE WINDOW WALL UNIT (HEATING AND COOLING)
{binding displayValue}
ALLIANCE PORTABLE UNIT
{binding displayValue}

Serials numbers can either be uploaded as images or can be typed in the boxes below. Both are not required.

Serial Number Indoor
{binding displayValue}
Serial Number Outdoor
{binding displayValue}
Serial Number Image Indoor
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
Serial Number Image Outdoor
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
Upload Invoice
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Enter 2nd Air-Conditioner Details (Optional)
{binding displayValue}

2nd Air-conditioner Details

Unit type
{binding displayValue}
SAMSUNG BORACAY NON-INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG WINDFREE INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG MALDIVES INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG FLOOR STANDING Q9000 INVERTER
{binding displayValue}
ALLIANCE ATLANTIC NON-INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE ALASKAN NON-INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE CASPIAN INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE ARCTIC INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE WINDOW WALL UNIT (HEATING AND COOLING)
{binding displayValue}
ALLIANCE PORTABLE UNIT
{binding displayValue}

Serials numbers can either be uploaded as images or can be typed in the boxes below. Both are not required.

Serial Number Indoor
{binding displayValue}
Serial Number Outdoor
{binding displayValue}
Serial Number Image Indoor
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
Serial Number Image Outdoor
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Enter 3rd Air-Conditioner Details (Optional)
{binding displayValue}

3rd Air-conditioner Details

Unit type
{binding displayValue}
SAMSUNG BORACAY NON-INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG WINDFREE INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG MALDIVES INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG FLOOR STANDING Q9000 INVERTER
{binding displayValue}
ALLIANCE ATLANTIC NON-INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE ALASKAN NON-INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE CASPIAN INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE ARCTIC INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE WINDOW WALL UNIT (HEATING AND COOLING)
{binding displayValue}
ALLIANCE PORTABLE UNIT
{binding displayValue}

Serials numbers can either be uploaded as images or can be typed in the boxes below. Both are not required.

Serial Number Indoor
{binding displayValue}
Serial Number Outdoor
{binding displayValue}
Serial Number Image Indoor
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
Serial Number Image Outdoor
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Enter 4th Air-Conditioner Details (Optional)
{binding displayValue}

4th Air-conditioner Details

SAMSUNG BORACAY NON-INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG WINDFREE INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG MALDIVES INVERTER MIDWALL SPLIT
{binding displayValue}
SAMSUNG FLOOR STANDING Q9000 INVERTER
{binding displayValue}
ALLIANCE ATLANTIC NON-INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE ALASKAN NON-INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE CASPIAN INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE ARCTIC INVERTER MIDWALL SPLIT
{binding displayValue}
ALLIANCE WINDOW WALL UNIT (HEATING AND COOLING)
{binding displayValue}
ALLIANCE PORTABLE UNIT
{binding displayValue}

Serials numbers can either be uploaded as images or can be typed in the boxes below. Both are not required.

Serial Number Indoor
{binding displayValue}
Serial Number Outdoor
{binding displayValue}
Serial Number Image Indoor
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
Serial Number Image Outdoor
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Area
{binding displayValue}
Eastern Cape Dealers
{binding displayValue}
Free State Dealers
{binding displayValue}
Helderberg Dealers
{binding displayValue}
Johannesburg Dealers
{binding displayValue}
KwaZulu-Natal Dealers
{binding displayValue}
Limpopo Dealers
{binding displayValue}
Mpumalanga Dealers
{binding displayValue}
North West Dealers
{binding displayValue}
Northern Cape Dealers
{binding displayValue}
Pretoria Dealers
{binding displayValue}
Western Cape Dealers
{binding displayValue}
View Terms
{binding displayValue}

Samsung Warranty Card Download

Alliance Warranty Card Download

Accept Terms and Conditions
{binding displayValue}
Signature